20090210 Payment Rec 11092012 o�oF t"�a� City of Yelm Permit No.: 20090210
�,�` Community Development Department
105 Yelm Ave W,Yelm,WA 98597
L„,,,�,o„ Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: YELM COMMUNITY SCHOOLS Phone: 360-458-1900
Address: P.O. BOX 476
YELM WA 98597
Property Information:
site Address: 402 RAILROAD ST NW Owner: CARKE PROPERTIES,
LLC
Assessor Parcel No.: 22719310300 Subdivision: Lot:
Project Information:
Project: YELM TRANSPORTATION CENTER
Description of Work: SITE PLAN REVIEW AND SEPA DEMO AND ATERATION OF EXISTING BUILDING TO BUS
SERVICE AND ADMIN. SEPT 14, 2012 FIRE SPRINKLER PERMIT ISSUED. OCT 18, 2012
SUBMITTAL OF SPR FOR FUELING STATION $500. FIRE ALARM PERMIT ISSUED
OCTOBER 29,2012
Sq. Ft. per floor: First 14510 Heat Type(Electric, Gas, Other): COMBO-SEE NOTES
Second 14838
Third
Garage
Basement
Fees:
Item Units Fees
SITE PLAN REVIEW-COMM(SQFT) 14,838 $ 700.00
ENVIRONMENTAL 1 $ 300.00
TOTAL FEES: $ 1,000.00
PAYMENTS MADE: $- 500.00
BALANCE DUE: $ 500.00
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Cit� of ��lm
(36 ) 458-8402
REC#: 0011 U461 11/09/2f112 1 ,28 f'M
OPER: CO TERh1: 001
REF#: 169$
THAN: ,�3,OQ00 BUILDING PERMITS
2009021Q 500.00CR
yELM COMMUNITY 5CHOOLS
402 kAILROAD ST NW
gZ7E 500.00CR
TENDEREQ: 500.OU CFiECK
app�Z�p; 500.00-
CHANGE: 0.00
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PURCHASE ORDER
v, P. O. NUMBER: 2081200003
J VENDOR KEY : CITY OF 009
OP.O. BOX 476 PAGE NUMBER: 1
�� = YELM, WASHINGTON 98597-0476 P-O. DATE : 0 9/19/2 012
COMM[/N/TY� PHON E(360)458-6215 • FAX(360)458-2469 S H I P DAT E : 0 9/19/2 012
FISCAL YEAR: 2012-2013
ENTERED BY : GERBEBON000
� PRINTED 10/18/2012
COMPANY: � DELIVER T0:
CITY OF YELM � YELM COMMUNITY SCHOOLS
105 YELM AVE W � 401 COATES AVE NW
YELM, WA 98597 � YELM, WA 98597
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Phone: (360) 458-8402 � ATTN: Rocky Birkland
Fax : 1360) 458-3188 I
UNIT OF �
QUANT . MEASURE CATALOG DESCRIPTION UNTT COST TOTAL COST �
* 1 e Fuel Station 350 . 00000 350 . 00
permit
* 1 EACH SEPA AMENDMENT 150 . 00000 150 . 00
* = Tax not Computed on Item
PO Subtotal 500 . 00
Other Charges 0 . 00
Tax 0 . 00
USE P. O. NUMBER ON ALL CORRESPONDENCE TOTAL 500 . 00
P.O. : 2081200003 ACCOUNT SUMMARY (FOR INTERNAL USE) VENDOR KEY : CITY OF 009
ACCOUNT AMOUNT
20 E 530 2007 22 9000 100 0000 0000 500 . 00
A,� REVISE
C1� ,� �
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T A X E X E M P T I 0 N S � PURCHASE APPROVED BY:
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� ASSISTANT SUPERINTENDENT
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